| The Chrysalis Center | |
|
3521 W Broward Blvd 3rd Floor Ft Lauderdale FL 33312-1048 | |
| (954) 587-1008 | |
| (954) 587-0080 |
| Full Name | The Chrysalis Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3521 W Broward Blvd, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Tara Marie Kellogg (PROGRAM DIRECTOR) |
| Authorized Official Contact | 9545871008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Chrysalis Center 3521 W Broward Blvd 3rd Floor Ft Lauderdale FL 33312-1048 Ph: (954) 587-1008 | The Chrysalis Center 3521 W Broward Blvd 3rd Floor Ft Lauderdale FL 33312-1048 Ph: (954) 587-1008 |
| NPI Number | 1932325883 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932325883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MT2003 (Florida) | Primary |
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